Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | M1659 | TX |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | M1659 | TX |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | M1659 | TX |
NPI | 1093882466 |
---|---|
Provider Name | Veronica Escobar |
First Address | San Antonio, TX 78229-4019 |
Second Address | San Antonio, TX 78229-4019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 14/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1963712-02 | (05) | TX |